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Somogyi effect
Pathology: - hypoglycemia from hypoglycemic agents or prolonged effects of exercise can induce release of catecholamines, cortisol, growth hormone & glucagon leading to hyperglycemia Clinical manifestations: - fluctating AM capillary blood glucose levels Management: - check 3 AM capillary blood glucoseGeneral
sign/symptomReferences
- Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015